Early rapid diagnosis of acute manifestations of ischemic heart disease in the pre-hospitalization period using the myoglobin-latex test (correction of hemoglobin-latex-text)
Kirillov, V.V.; Golikov, A.P.
Kardiologiia 31(11): 14-18
1991
ISSN/ISBN: 0022-9040 PMID: 1805054 Accession: 039891850
The application of the myoglobin-latex test was examined to make an early diagnosis of myocardial necrosis in the prehospital period. As many as 142 patients with suspected acute myocardial infarction were studied. The test was employed in bed patients at home at 1.5-60 hour intervals of the onset of pain. The agglutination test was performed by the 5-score minute scale. The results of the latex-test were randomly monitored by radioimmunoassay. The mean myoglobin levels were 35.4 +/- 7.1 ng/ml (maximum 73.2 ng/ml) in the controls. Acute myocardial infarction was diagnosed in 33 patients (at myoglobin levels of 130.3-459.7 ng/ml) in the first hours of the disease. The test is simple and easy-to-use. Its practical application in emergency care is an important reserve for the early diagnosis of acute myocardial damages.